Healthsource Pharmacy IV, LLC
NPI 1053841312 · Community/Retail Pharmacy · New York, NY
Healthsource Pharmacy IV, LLC is a Community/Retail Pharmacy organization in New York, NY (NPI 1053841312).
Provider details
- NPI number
- 1053841312
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Boris Niyazov, Member(917) 482-1154
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
- Compounding Pharmacy3336C0004X
Suppliers
- Specialty Pharmacy3336S0011X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Healthsource Pharmacy
Registry dates
- Enumerated
- 2017-06-19
- Last updated
- 2017-06-19
Frequently asked questions
- What is Healthsource Pharmacy IV, LLC's NPI number?
- Healthsource Pharmacy IV, LLC's National Provider Identifier (NPI) is 1053841312, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Healthsource Pharmacy IV, LLC?
- Healthsource Pharmacy IV, LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Healthsource Pharmacy IV, LLC located?
- Healthsource Pharmacy IV, LLC's practice location on file with NPPES is 750 Columbus Ave, New York, NY 10025-6464.
- What is Healthsource Pharmacy IV, LLC's phone number?
- The practice phone number listed in the NPPES registry for Healthsource Pharmacy IV, LLC is (212) 932-0200.
- Who is the authorized official for Healthsource Pharmacy IV, LLC?
- The authorized official listed on Healthsource Pharmacy IV, LLC's NPPES record is Boris Niyazov, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Healthsource Pharmacy IV, LLC's NPI active?
- Yes — Healthsource Pharmacy IV, LLC's NPI (1053841312) is active in the NPPES registry as of the last update on 2017-06-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.